Positive pressure DOES work, and it is a real thing- just that our use of the term is...well wrong
The fans used in computer cases aren't really strong enough to maintain a pressure differential; instead we use it to describe how we plan the airflow to move:
"positive" means that we are trying to force more air into the case than out- which sends some air out of the case through all the cracks and seams.
"negative" means that we are trying to get more air out than in- trying to get air INTO the case through all those little seams.
I have (almost) always found that
slightly negative works better at reducing hot spots and dead air space in my cases.
A highly subjective topic though

- my best suggestion is to always EXPERIMENT! Find out what works best for YOU.